Homeschool Intent to Teach Form

Homeschool Intent to Teach Form
Please complete this form to declare your intent to homeschool your child for the upcoming academic year.
Parent/Guardian Full Name
First NameLast Name
Relationship to Student
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Student Full Name
First NameLast Name
Student Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student Grade Level for Homeschooling
Previous School Attended (if applicable)
Intended Start Date for Homeschooling
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Intended Curriculum or Teaching Plan
Number of Children Being Homeschooled (including this student)
Signature of Parent/Guardian
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